Percutaneous retropleural drainage of a posttraumatic pancreatic mediastinal pseudocyst in a child

Nuwayhid, Zaher; Kassira, Noor; Neville, Holly L.; Casillas, Javier; Sola, Juan E.

doi:10.1016/j.jpedsurg.2010.12.006

Cited by 4 publications

(2 citation statements)

References 8 publications

(13 reference statements)

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Section: Introductionmentioning

confidence: 99%

“…Mediastinal pseudocysts (MPs) are rare and have been reported as case reports and small case series [4][5][6][7][8][9][10][11]. Their incidence is unknown and has been reported in children usually secondary to pancreatic trauma and in adults as a consequence of both acute as well as chronic pancreatitis [4,7]. They are typically seen in patients in whom the pathways of spread of pancreatic juice to common intra-abdominal locations offer higher resistance due to fibrosis from previous episodes of inflammation [8].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic Ultrasound-guided Trans-esophageal Transmural Drainage of Mediastinal Pseudocysts: A Case Series

Rana

Choudhary

Jha

et al. 2023

JGLD

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Background and Aims: Mediastinal pseudocysts (MP) are rare, and surgery is the conventional treatment modality. However, in the last decade, excellent outcomes have been reported with endoscopic transpapillary drainage. Endoscopic ultrasound (EUS) guided trans-esophageal transmural drainage of MP is a minimally invasive and effective non-surgical treatment modality, but the experience is limited. We aimed to report our experience of EUS-guided transmural drainage in 10 patients with MP‘s. Methods: A retrospective analysis of patients with pancreatic fluid collections treated with EUS-guided transmural drainage over the last ten years was completed to to identify patients with MP‘s. Results: Ten patients (8 males, with a mean age of 34.9±9.17 years) with MP treated with EUS-guided transesophageal transmural drainage were identified. Nine patients with MP had concurrent chronic pancreatitis, and only one had MP following acute necrotizing pancreatitis. The mean size of MP was 5.70±1.64 cm, and nine patients (90%) had concurrent abdominal pseudocyst. EUS-guided transesophageal transmural drainage was technically successful in all ten patients. Transmural plastic stents were placed in 9 patients, whereas one patient underwent single-time complete aspiration of the MP. There were no immediate or delayed procedure-related complications. All ten patients had a successful outcome, with the mean resolution time being 2.80±0.79 weeks. There has been no recurrence of PFC or symptoms in nine (90%) successfully treated patients over a mean follow-up period of 43.3 months. Conclusions: EUS-guided trans-esophageal drainage of MP is safe with a high technical and clinical success rate.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Endoscopic Ultrasound-guided Trans-esophageal Transmural Drainage of Mediastinal Pseudocysts: A Case Series

Rana

Choudhary

Jha

et al. 2023

JGLD

View full text Add to dashboard Cite

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Pancreatic Pseudocyst

Casillas¹,

Sleeman²,

Levi³

et al. 2016

Multidisciplinary Teaching Atlas of the Pancreas

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Mediastinal pancreatic pseudocyst with hemorrhage and left gastric artery pseudoaneurysm, managed with left gastric artery embolization and placement of percutaneous trans-hepatic pseudocyst drainage

Brahmbhatt

McKinney

Litchfield

et al. 2014

Gastroenterol. Rep.

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Mediastinal pancreatic pseudocyst (MPP) is a rare, but known, complication of both acute and chronic pancreatitis. Most pseudocysts are associated with alcoholic pancreatitis. Recent advances in endoscopic techniques have shown promising results, with reduced chances of infection and recurrence than with percutaneous drainage, but limited availability restricts widespread use. Left gastric artery pseudoaneurysm with mediastinal pseudocyst has not been described in the literature to date. We report a successful resolution of hemorrhagic MPP with embolization of pseudoaneurysm and percutaneous trans-hepatic pseudocyst drainage.

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Percutaneous retropleural drainage of a posttraumatic pancreatic mediastinal pseudocyst in a child

Cited by 4 publications

References 8 publications

Endoscopic Ultrasound-guided Trans-esophageal Transmural Drainage of Mediastinal Pseudocysts: A Case Series

Endoscopic Ultrasound-guided Trans-esophageal Transmural Drainage of Mediastinal Pseudocysts: A Case Series

Pancreatic Pseudocyst

Mediastinal pancreatic pseudocyst with hemorrhage and left gastric artery pseudoaneurysm, managed with left gastric artery embolization and placement of percutaneous trans-hepatic pseudocyst drainage

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